Payment Analyst - Insurance Billing

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Lowell, MA
Healthtech • Pharmaceutical
The Role

At Central Maine Healthcare our team members are committed to providing exceptional care and experiences for our community and for each other every day.

Position Summary: The Payment Analyst’s primary responsibility is to research and process payments, adjustments and denials accurately and in a timely fashion to ensure a positive cash flow for the regional healthcare system.
Duties and Responsibilities:
Demonstrates Competency in the Following Areas:
1. Receives and posts payments from patients, insurance companies, federal and state agencies and other third party payors.
2. Resolves unidentified patient and insurance payments according to departmental policy.
3. Accurately encodes payments and/or denials on EOB for batching and posting.
4. Determines, posts and reconciles contractual adjustments to patient accounts according to the contractual arrangements with third party payers.
5. Reconciles and posts daily cash batches.
6. Prepares, balances and records all monies for the regional healthcare system.
7. Receives, processes and posts non-patient payments for deposit.
8. Downloads, posts, and reconciles electronic remittances according to department standards.
Regulatory Requirements:
• High school graduate or equivalent.
• Minimum of two years relevant experience, including knowledge of insurance billing and medical terminology.
Language Skills:
• Ability to communicate in English, both verbally and in writing.
• Other languages preferred.
Skills:
• Basic computer knowledge.
• Correct and safe operation of office equipment, i.e., copy machine, adding machine, fax.
Physical Demands:
• For physical demands of position, including vision, hearing, repetitive motion and environment, see following description.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising client care.

If you are passionate about making a difference and are looking for your next great career opportunity, we look forward to reviewing your application!

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The Company
Lewiston, Maine
364 Employees
On-site Workplace
Year Founded: 1891

What We Do

Central Maine Medical Center (CMMC) located in Lewiston, is a Level II Trauma Center serving Androscoggin County and the surrounding region. CMMC’s “Centers of Excellence” include the Central Maine Heart and Vascular Institute, the Central Maine Comprehensive Cancer Center, the Neonatal Intermediate Care Unit, and a Trauma Services Program.

CMMC is also the southern Maine base for LifeFlight of Maine, the state’s only medical helicopter service. Supported by the latest technologies, CMMC’s skilled professionals provide outstanding care delivered with compassion, kindness, and understanding.

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